Price Transparencybeta Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

Payer comparison · NDC 71894013307 · SANTA MONICA, CA

71894013307 — Onasemnogene Abeparvovec-xioi 2x5.5ml & 5x8.3ml IV Kit

What each payer pays SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL (CCN 050112) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$4,398,431 All-payer median here
$3,506,250 Cash / self-pay here
83 payer/plan-name variants
← This hospital National rates for 71894013307 →
Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan Median negotiated vs all-payer median Rate rows
   
CEDARS-SINAI MEDICAL GROUP (CSHS) - FEE FOR SERVICE $4,781,250 8.7% 1
Upland Medical Group - RMG $4,781,250 8.7% 1
Physicians Choice Medical Group Santa Maria - RMG $4,781,250 8.7% 1
PHCS (Private Healthcare Systems) $4,781,250 8.7% 1
Pomona Valley - RMG $4,781,250 8.7% 1
Mercy Healthcare Bakersfield_RRUCLA - RMG $4,781,250 8.7% 1
Prime Health- Workers Comp $4,781,250 8.7% 1
GEMCARE $4,781,250 8.7% 1
H.E.R.E.I.U. WELFARE PENSION FUNDS $4,781,250 8.7% 1
UnitedHealthcare $4,523,381 2.8% 6
St Vincent IPA - RMG $4,462,500 1.5% 1
St Mary IPA - RMG $4,462,500 1.5% 1
St Joseph Heritage - RMG $4,462,500 1.5% 1
County of Ventura $4,462,500 1.5% 1
Dignity Health Medical Network Central California $4,462,500 1.5% 1
Facey Medical Group - RMG $4,462,500 1.5% 1
Family Care Specialists - RMG $4,462,500 1.5% 1
FAMILY CHOICE MEDICAL SERVICES $4,462,500 1.5% 1
Family Health Alliance - RMG $4,462,500 1.5% 1
Sharp Rees-Stealy - RMG $4,462,500 1.5% 1
Sansum Clinic - RMG $4,462,500 1.5% 1
San Bernardino - RMG $4,462,500 1.5% 1
Saint Johns - RMG $4,462,500 1.5% 1
Riverside Medical Clinic - RMG $4,462,500 1.5% 1
REDLANDS YUCAIPA MEDICAL GROUP $4,462,500 1.5% 1
KOREAN AMERICAN MEDICAL GROUP $4,462,500 1.5% 1
Lakewood IPA - RMG $4,462,500 1.5% 1
Prudent Medical Group - RMG $4,462,500 1.5% 1
Memorial Health Care - RMG $4,462,500 1.5% 1
Primecare Transplant $4,462,500 1.5% 1
Monarch Healthcare - RMG $4,462,500 1.5% 1
Premier Physician - RMG $4,462,500 1.5% 1
Primecare Medicare $4,462,500 1.5% 1
AKM MEDICAL GROUP $4,462,500 1.5% 1
Alamitos IPA LOA - RMG $4,462,500 1.5% 1
ALLIANCE PHYSICIANS MEDICAL GROUP $4,462,500 1.5% 1
APPLECARE MEDICAL MANAGEMENT $4,462,500 1.5% 1
Axminister Medical Group - RMG $4,462,500 1.5% 1
United Family Care - RMG $4,462,500 1.5% 1
Brookshire IPA - RMG $4,462,500 1.5% 1
Tri Valley - RMG $4,462,500 1.5% 1
CENTINELA VALLEY IPA $4,462,500 1.5% 1
Physicians Choice Medical Group San Luis Obispo - RMG $4,462,500 1.5% 1
PIH Health Physicians - RMG $4,462,500 1.5% 1
Pinnacle Medical Group - RMG $4,462,500 1.5% 1
Health Net $4,424,250 0.6% 1
Aetna $4,347,750 -1.2% 4
Primecare Commercial $4,303,125 -2.2% 2
Santa Barbara Select IPA - RMG $4,143,750 -5.8% 1
MemorialCare Medical Foundation $4,143,750 -5.8% 1
ACCESS MEDICAL GROUP $4,143,750 -5.8% 1
Seaview IPA - RMG $4,143,750 -5.8% 1
Seoul Medical Group - RMG $4,143,750 -5.8% 1
Torrance Hospital - RMG $4,143,750 -5.8% 1
Valley Care - RMG $4,143,750 -5.8% 1
Western Neurological Network - RMG $4,143,750 -5.8% 1
Cigna Healthcare $3,730,012 -15.2% 2
Redlands Community General Services $3,697,500 -15.9% 1
St. Jude $3,525,741 -19.8% 2
HealthCare Partners HMO $3,506,250 -20.3% 1
Monarch $3,266,182 -25.7% 2
SCAN Group $3,224,629 -26.7% 1
Kaiser Permanente $3,219,375 -26.8% 3
HEALTHSMART BENEFIT SOLUTIONS $3,106,777 -29.4% 1
Central Health Plan $2,763,342 -37.2% 1
Torrance Memorial Medicare $2,627,476 -40.3% 1
Providence Health & Services $2,627,476 -40.3% 1
Redlands Community Medicare $2,588,981 -41.1% 1
Health Plan of Nevada (UHC Sierra) $2,588,981 -41.1% 1
UCLA Health Medicare Advantage Plan $2,588,981 -41.1% 1
PGBA TRIWEST VA CCN $2,588,981 -41.1% 1
Blue Shield of California $2,561,517 -41.8% 3
CHOC Health Alliance $2,550,000 -42.0% 1
Molina Healthcare $2,550,000 -42.0% 1
UCI University - RMG $2,550,000 -42.0% 1
Local Initiative Health Authority for LA County $2,550,000 -42.0% 3
Anthem Blue Cross CA $2,403,459 -45.4% 1
Anthem (Elevance Health) $2,403,459 -45.4% 1
UC Ship $2,358,750 -46.4% 2
UC Care - PPO $2,291,812 -47.9% 2
Health Care LA IPA $2,231,250 -49.3% 2
CENCAL HEALTH $2,231,250 -49.3% 1
GOLD COAST HEALTH PLAN $1,785,000 -59.4% 1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.